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Third Party Reviewer jobs

Viewing 1 - 10 of 2,515 jobs

  • Assistant Manager, Third Party Help Desk

    Alb/sfy Company - Boise, ID

    Point person for Help Desk staff to escalate complex Third Party billing problems and related questions. Review and ... with PDX and/or ARX pharmacy software systems Knowledge of Third Party processing and NCPDP Industry Standards...

    18 days ago from TAOnline

  • Utilization Reviewer-Case Management-Part-Time-Forbes

    Forbes Hospital - Monroeville, PA

    functioning as a liaison with third party payers, communicating clinical information to the ... Job Responsibilities: Obtains or ensures acquisition of appropriate pre-certifications/authorizations from third party p...

    5 days ago from Forbes Hospital

  • Part Time RN/Registered Nurse Case Manager / Utilization Review (Days) Job

    Centura Health - Littleton, CO

    excellent communication skills, knowledge of third party payment systems, Medicare/Medicaid programs. Ability to multi-task, set priorities and maintain organization. Needs basic computer skills. RN Case Manager Position Details: Part Time...

    6 days ago from Centura Health

  • (Per diem) Case Manager RN/ Utilization Review

    University of Miami , Miller School of Medicine - Hialeah, FL

    need for continued hospitalization based upon third party payer/insurance guidelines.3) Assesses clinical, including psychosocial, system parameters.4) Establishes planning to determine goals and objectives and care setting to optimally...

    13 days ago from University of Miami , Miller School of Medicine

  • Junior Case Review Officer

    Innoviss - Chevy Chase, MD

    executes actions necessary to complete cases.May perform third-party reviews.May perform duties on multiple contracts.Minimum Requirements:High school diploma or equivalent required.Some college education would be helpful.Requires a...

    19 days ago from Innoviss

  • QA Plan Reviewer

    South Shore Mental Health - Quincy, MA

    direction of the Program Manager for BV Quincy, the QA plan reviewer will provide ongoing qualitative and quantitative ... population Experience with and understanding of third party payer and regulatory agency requirements Knowledge of...

    20 days ago from South Shore Mental Health

  • Utilization Review Specialist- Per Diem

    Fort Duncan Regional Medical Center - Orlando, FL

    day and/orspecified time. Prepare and submit appeals to third party payors,effectively coordinating collection of ... abreast of applicable UR trends. Communicatepertinent third party payors issues to Physician and treatment...

    21 days ago from Fort Duncan Regional Medical Center

  • Utilization Review Specialist Per Diem (7588312)

    Universal Health Services - Orlando, FL

    and/or specified time. Prepare and submit appeals to third party payors, effectively coordinating collection of all ... of applicable UR trends. Communicate pertinent third party payors issues to Physician and treatment team. Attend...

    21 days ago from Universal Health Services

  • Payor Specialist - Behavioral Health Charlotte Utilization Review - PT Days

    Carolinas Healthcare System - Charlotte, NC

    Provides specific clinical information to third party payors; responsible for timely provision/flow of clinical informat ... Degree or Bachelors Degree preferred. Experience with Third Party Reimbursement or Utilization Management and...

    30+ days ago from Carolinas Healthcare System

  • Part-Time - Pre-Sale Bid Reviewer (GSE)

    Servicelink - Westminster, CO

    Make and receive calls to/from vendors, clients, and third parties as needed. Review, research, and respond to email correspondence as appropriate. Review maintenance completion reports, follow up tickets and all related tickets created in...

    30+ days ago from ServiceLink